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General NPI Number Information
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NPI Number | 1023000171
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Entity Type | Individual
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Provider Name | MELINDA A DUNCAN D.O.
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Gender | Female
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 02/27/2017
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Provider Practice Location Address
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Address Line | 112 MEDICAL DR
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City | PALESTINE
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State | TX
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Zip | 75801-4780
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Country | US
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Telephone | 903-729-0444
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Fax | 903-729-7765
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Provider Business Mailing Address
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Address Line | 112 MEDICAL DR
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City | PALESTINE
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State | TX
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Zip | 75801-4780
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Country | US
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Telephone | 903-729-0444
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Fax | 903-729-7765
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | E6333
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | E6333
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | E6333
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License Number State | TX
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